Individual provider · Type 1 NPI
Shadiatu O. Moustapha, FNP
Family Nurse Practitioner · Bronx, NY
NPI number
1629401443
Active
Practice location
2015 Grand Concourse Ste B
Bronx, NY 10453-4303
Fax (718) 299-6797
Mailing address
3198 Grand Concourse
Bronx, NY 10458-1000
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Registered Nurse | 163W00000X | 621087 (NY) |
| Family Nurse Practitioner Primary | 363LF0000X | 338271 (NY) |
Family Nurse Practitioner: Definition to come...
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About NPI 1629401443
Shadiatu O. Moustapha, FNP's National Provider Identifier is 1629401443, issued on Aug 15, 2013. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Bronx, NY. The record was last updated on Jan 13, 2016.